- 期刊
Adult-Type Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery
成人型左冠狀動脈異常起源出於肺主動脈
摘要
這病例是報告一位三十七歲的女性病患因胸問及呼吸喘而就醫，經檢查診斷後為極少見的成人型左側冠狀動脈異常出口。藉由外科手術將異常之肺動脈開口封閉及左側內乳動脈與左前降支吻合，治療後癒後良好。在文獻上所報導大部分為嬰兒期的病例，但就我們所知，此病例為十分罕見的成人型態，所以我們回顧了相關文獻並提出病例報告。
並列摘要
This case report describes a 37-year old female who complained chest tightness and shortness of breath. After a series of examinations, the patient was diagnosed with the rare adult type of anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) and underwent operation for closure of the anomalous opening and implantation of left internal mammary artery (LIMA) to left coronary artery (LCA). The post-operative course was uneventful. Although several infant cases had been reported in the literature, to our knowledge, the anomaly in this patient was a very rare adult type. Herein, we report this case and review the literature.
延伸閱讀
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- 寇崇德、張嘉侃、陳豐霖、謝凱生（1996）。右肺動脈源自升主動脈之超音波心圖診斷－病例報告。慈濟醫學雜誌，8(4)，329-333。https://doi.org/10.6440/TZUCMJ.199612.0329